Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Brandon Heath Petty

Individual provider Nurse Practitioner · NPI 1073157715

Brandon Heath Petty is a Nurse Practitioner in Tupelo, Mississippi. Qualified in 2019, 7 years ago. Practices with North Mississippi Clinics LLC, a 21-clinician group and accepts Medicare assignment. Licensed in Mississippi.

Years since qualifying
7
Licensed in
MS
In the registry since
2019
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Practice location Address checks out

499 Gloster Creek Vlg Ste A2
Tupelo, MS 38801-4749
Phone: (662) 620-6800
Fax: (662) 620-6950
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence R903557 (MS)

Record details

NPI number1073157715
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedNovember 6, 2019
Last updated in NPPESNovember 6, 2019
Mailing address499 Gloster Creek Vlg Ste A2, Tupelo, MS 38801-4749

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice North Mississippi Clinics Llc — 21 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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